Thu, 6 May 2010
                                                                    
                                                                      Answered on 
                                                                
                                                                    
                                                                    Fri, 25 Jun 2010
                                                                    
                                                                      Last reviewed on   
                                                                Hi.. Symptoms of anal fistula, cyst, a rupture cyst can all produce similar symptoms.. A per rectal examination is the ony way of differentiating it.. Hence a doctor who has examined you would know what the cause is.. If you feel that your last doctor may be wrong, you can take a second opinion...
                    
                                    
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